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Deep Learning Approaches for Classifying Children With and Without Autism Spectrum Disorder Using Inertial

John Mutersbaugh1, Wan-Chun Su2, Anjana Bhat3,4

  • 1NICHD, National Institutes of Health, NIHBC 49 - Conte 5A82, Bethesda, MD, 20892-4480, United States, 1 301-435-9235.

JMIR Medical Informatics
|December 22, 2025
PubMed
Summary
This summary is machine-generated.

Deep learning models analyzing hand-eye coordination effectively identified autism spectrum disorder (ASD) in children. This approach shows promise for objective ASD diagnosis using movement data.

Keywords:
AIASDartificial intelligenceautism spectrum disorderdeep learningkinematicsmachine learning

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Area of Science:

  • Neuroscience
  • Machine Learning
  • Developmental Pediatrics

Background:

  • Autism spectrum disorder (ASD) diagnosis relies on behavioral assessments, lacking objective methods.
  • Children with ASD often exhibit motor control differences, with 50-88% showing movement issues.
  • Objective diagnostic tools are needed to improve ASD identification and intervention.

Purpose of the Study:

  • To evaluate deep learning models for classifying ASD using hand-tracking data.
  • To explore the potential of inertial measurement unit (IMU) data for objective ASD assessment.
  • To identify movement differences indicative of ASD in children.

Main Methods:

  • Collected IMU hand-tracking data from 41 children during a goal-directed arm movement task.
  • Preprocessed IMU data using moving average and z-score normalization.
  • Applied and validated various deep learning models, including convolutional autoencoders and LSTMs, using k-fold and patient-separated approaches.

Main Results:

  • A convolutional autoencoder combined with LSTM layers achieved 90.21% accuracy and 90.02% F1-score.
  • The best model, retrained on a patient-separated dataset, demonstrated generalization with 91.87% accuracy and 93.66% F1-score.
  • Significant differences in physical movements between typically developing children and those with ASD were identified.

Conclusions:

  • Deep learning models analyzing movement data show potential for facilitating ASD diagnosis.
  • Hand-eye coordination analysis can identify movement differences associated with ASD.
  • Small-scale models can achieve high accuracy and generalization for medical data classification, enabling future research.